Menopause Symptoms
May help manage eligible menopause-related symptoms.
Menopause & Hormone Health
Biest 50:50 Cream
Personalized estrogen therapy designed for eligible women navigating symptoms associated with menopause and hormonal change.
RxPrescription treatment. Eligibility determined by a licensed clinician.
Pricing determined by treatment plan
Start your online visit$0 today with flexible payment options
Good for
- Menopause Care
- May be prescribed as part of individualized treatment for menopausal symptoms.
- Hormonal Support
- Contains a prescribed combination of estrogen hormones.
- Temperature Symptoms
- Hormone therapy may be considered for symptoms such as hot flashes and night sweats when clinically appropriate.
- Personalized Dosing
- Compounded formulations allow clinicians to prescribe specific strengths and combinations.
- Ongoing Care
- Designed to be used with regular clinician monitoring and reassessment.
Treatment type
Topical hormone cream.
Prescription
Prescription compounded hormone therapy fulfilled through VialsRx if clinically approved.
Hormone care built around you.
Biest 50:50 is a compounded estrogen formulation generally containing a combination of estradiol and estriol.
Your exact dose and treatment plan are selected according to your symptoms, health history, risk factors, and clinician evaluation.
Benefits
Estrogen therapy can help manage certain menopause-related symptoms in appropriate patients.
Because Biest is compounded, its specific formulation and clinical role depend on your prescription and should be reviewed regularly with your healthcare provider.
How to use
Apply Biest exactly as prescribed.
Your clinician will provide instructions regarding the amount, application site, frequency, and any precautions associated with treatment.
Do not change your dose or application schedule without medical guidance.
THE SCIENCE
Two estrogens. One personalized formulation.
Biest formulations commonly combine estradiol and estriol in a prescribed ratio.
Estrogens bind to estrogen receptors throughout the body and affect multiple tissues, which is why hormone therapy requires individualized assessment of benefits and risks.
WHAT IT MAY SUPPORT
Individualized menopause care.
Hormonal Support
Provides prescribed estrogen therapy.
Personalized Dosing
Treatment is selected according to individual clinical needs.
Ongoing Care
Used with clinician monitoring and periodic reassessment.
Individual results may vary. Biest 50:50 Cream is available by prescription only, when a licensed clinician determines it is appropriate for you. This information is not medical advice.
Suggested for you
Estradiol Gel
Topical Gel
Progesterone
Oral Capsules
Estradiol Patches
Transdermal System
Estradiol Vaginal Cream
Vaginal Cream
HOW IT WORKS
Your wellness journey, made simple
Expert care, personalized for you, in five easy steps.
- 01.
COMPLETE A SHORT INTAKE
Answer a few quick questions so we can understand your wellness goals and help guide your bundle.
- 02.
BUILD YOUR BUNDLE
Choose the products that fit your needs, with flexible monthly or quarterly options designed around your routine.
- 03.
A LICENSED PROVIDER REVIEWS
A licensed medical provider reviews your answers to determine whether your selected treatment plan is appropriate for you.
- 04.
GET YOUR PERSONALIZED PLAN
If approved, you’ll receive a personalized treatment plan tailored to your selected bundle and wellness goals.
- 05.
SHIPPED FROM THE PHARMACY
Your treatments are shipped directly from the pharmacy in their own packaging, so you receive your order quickly and discreetly.
FREQUENTLY ASKED QUESTIONS
Good to know
Doctor consult included. Free shipping. Cancel anytime.
How does VIVIE work?
Choose the treatment or bundle that fits your goals, create your account, and complete a short medical intake. A licensed provider reviews your information and, if clinically appropriate, issues your prescription. Your treatment is then fulfilled and shipped directly by a licensed pharmacy.
Do I need a prescription?
Yes. Prescription treatments available through VIVIE require review and approval by a licensed healthcare provider. Completing the intake or selecting a treatment does not guarantee a prescription.
What if a provider decides a treatment isn’t right for me?
Your provider will only prescribe a treatment they determine is medically appropriate for you. If your selected treatment isn’t a good fit, they may recommend another option, request additional information, or advise you on next steps.
If your treatment is not approved, you will not be charged. Any payment authorization placed on hold will be released back to your account.
Can I talk to a medical provider?
Yes. You have access to your provider through secure doctor chat in your patient portal.
How quickly will I feel a difference?
It depends on the treatment and your individual response. Some people may notice changes sooner than others, while certain treatments may take more time and consistent use.
Is my information private?
Yes. VIVIE takes the privacy and security of your personal and health information seriously. Your information is handled in accordance with applicable privacy and healthcare laws and is only shared as necessary to provide your care and services.
You can learn more in our Privacy Policy.
Can I cancel or change my treatment?
Yes. You can request to cancel or change your treatment through your patient portal or by contacting us.
Treatment changes require provider approval. Once a prescription has entered pharmacy fulfillment, we cannot guarantee that the current order can be changed, canceled, or refunded.
Who is the medical provider?
Our clinical provider is Wasef Health, PC, led by Michael Wasef, MD.
Email: contact@wasef-health.com
Address: 5260 78th Ave N, PO Box 1697, Pinellas Park, FL 33780
Which pharmacy fulfills my medication?
Our pharmacy partner is VialsRx.
Phone: (713) 497-5590
Address: 6220 Westpark Dr., Houston, TX 77057
Website: vials.ai
Services are available through affiliated medical providers and pharmacy partners operating in accordance with applicable state licensure requirements. Medication availability, formulations, and fulfillment options may vary depending on your location and applicable state pharmacy regulations.
Doctor Consult Included . Free Shipping . Cancel Anytime